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A qualitative exploration of care-seeking pathways for sick children in the rural Oromia region of Ethiopia.
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- معلومة اضافية
- المصدر:
Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
- بيانات النشر:
Original Publication: London : BioMed Central, [2001-
- الموضوع:
- نبذة مختصرة :
Background: Ethiopia has experienced rapid improvements in its healthcare infrastructure, such as through the recent scale up of integrated community case management (iCCM) delivered by community-based health extension workers (HEWs) targeting children under the age of five. Despite notable improvements in child outcomes, the use of HEWs delivering iCCM remains very low. The aim of our study was to explain this phenomenon by examining care-seeking practices and treatment for sick children in two rural districts in the Oromia Region of Ethiopia.
Methods: Using qualitative methods, we explored perceptions of child illness, influences on decision-making processes occurring over the course of a child's illness and caregiver perceptions of available community-based sources of child illness care. Sixteen focus group discussions (FGDs) and 40 in-depth interviews (IDIs) were held with mothers of children under age five. For additional perspective, 16 IDIs were conducted fathers and 22 IDIs with health extension workers and community health volunteers.
Results: Caregivers often described the act of care-seeking for a sick child as a time of considerable uncertainty. In particular, mothers of sick children described the cultural, social and community-based resources available to minimize this uncertainty as well as constraints and strategies for accessing these resources in order to receive treatment for a sick child. The level of trust and familiarity were the most common dynamics noted as influencing care-seeking strategies; trust in biomedical and government providers was often low.
Conclusions: Overall, our research highlights the multiple and dynamic influences on care-seeking for sick children in rural Ethiopia. An understanding of these influences is critical for the success of existing and future health interventions and continued improvement of child health in Ethiopia.
- References:
Trop Med Int Health. 2010 Mar;15(3):312-20. (PMID: 20070629)
MEDICC Rev. 2011 Jul;13(3):46-9. (PMID: 21778960)
Soc Sci Med. 1983;17(3):147-61. (PMID: 6836349)
Soc Sci Med. 2008 May;66(10):2157-67. (PMID: 18314240)
Soc Sci Med. 2006 Jun;62(12):2945-59. (PMID: 16403595)
Trans R Soc Trop Med Hyg. 2006 Apr;100(4):321-6. (PMID: 16214194)
Soc Sci Med. 1998 Jan;46(2):209-25. (PMID: 9447644)
Soc Sci Med. 2005 Oct;61(7):1452-62. (PMID: 16005780)
Bull World Health Organ. 2000;78(1):135-43. (PMID: 10686748)
Soc Sci Med. 2013 Jun;86:66-78. (PMID: 23608095)
BMC Public Health. 2014 Jun 10;14:581. (PMID: 24920306)
BMC Public Health. 2011 Jul 13;11:556. (PMID: 21752260)
BMC Public Health. 2013 Sep 17;13:853. (PMID: 24040864)
BMC Pediatr. 2013 Dec 01;13:198. (PMID: 24289501)
PLoS One. 2015 Feb 23;10(2):e0117919. (PMID: 25706531)
Nurs Outlook. 2005 Nov-Dec;53(6):274-80. (PMID: 16360698)
BMJ Open. 2014 Feb 12;4(2):e004020. (PMID: 24525391)
Malar J. 2013 May 31;12:175. (PMID: 23721217)
Soc Sci Med. 1994 Jan;38(2):205-15. (PMID: 8140447)
Health Policy Plan. 2014 May;29(3):292-301. (PMID: 23535712)
Med Anthropol Q. 1997 Jun;11(2):147-63. (PMID: 9186958)
BMC Int Health Hum Rights. 2013 Jun 19;13:28. (PMID: 23777408)
Health Policy Plan. 2004 Jul;19(4):218-33. (PMID: 15208278)
- Contributed Indexing:
Keywords: Careseeking; Child health; Ethiopia; Health care utilization; Qualitative research; Rural communities
- الموضوع:
Date Created: 20170310 Date Completed: 20170905 Latest Revision: 20240524
- الموضوع:
20240524
- الرقم المعرف:
PMC5343381
- الرقم المعرف:
10.1186/s12913-017-2123-5
- الرقم المعرف:
28274261
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